A study to observe the impact of intense audio visual counselling in tobacco consumers attending tobacco cessation clinic at a tertiary care centre

Background - The cutaneous manifestations of the novel coronavirus have been well documented. However, there are few studies that relate to the clinical prole of regular dermatology outpatients seeking treatment during the lockdown relaxation period braving the pandemic. With the Aim - view to determine the changes seen in dermatology outpatient practice, this study analysed the clinical prole of new patients attending the Dermatology Outpatient Department (OPD) during the COVID-19 lockdown relaxation period in a tertiary care centre in a metropolitan suburb in South India. New dermatology outpatients during the months of May, June, July and August Method - 2020 were included in the study. Outpatient data for this period was analysed and compared with corresponding data for the same period in the previous two years. There was a Result – decrease in the OP census, number of patients in the extremes of life as well as those with asymptomatic dermatoses. There was an increase in the number of patients with infections, particularly dermatophytosis. There was also a noteworthy absence of dermatological emergencies. Conclusion - In essence, our study shows the impact of COVID-19 pandemic on the routine dermatology outpatient services with signicant changes in the clinical prole of outpatient practice following lockdown relaxation.

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MP285STUDY ON THE IMPACT OF RENAL STATUS IN THE OUTCOME OF PATIENTS UNDERGOING LIVER TRANSPLANT AT A TERTIARY CARE CENTRE IN SOUTH INDIA

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfx167.mp285 ◽

2017 ◽

Vol 32 (suppl_3) ◽

pp. iii531-iii531

Author(s):

S Talwar ◽

R Nair ◽

S Sudhindran ◽

G Kurian ◽

A Mathew ◽

...

Keyword(s):

Liver Transplant ◽

South India ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre ◽

The Impact

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Impact of COVID-19 pandemic on routine childhood immunisation services post lockdown in a tertiary care centre in Meerut district of western U.P.

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20210073 ◽

2021 ◽

Vol 8 (2) ◽

pp. 219

Author(s):

Archana D. Agrawal ◽

Gaurav Gupta ◽

Ashu Bhasin ◽

Abhishek Singh ◽

Alpa Rathi

Keyword(s):

Public Health ◽

Tertiary Care ◽

Immunization Coverage ◽

Routine Immunization ◽

Care Centre ◽

Tertiary Care Centre ◽

Vaccine Preventable Diseases ◽

Number Of Children ◽

Birth Dose ◽

The Impact

Background: The severe acute respiratory syndrome corona virus-2 (SARS CoV-2) disease pandemic has been a threat to public health and health care system world-wide including routine immunization which has been greatly disrupted putting children at risk for vaccine-preventable diseases (VPDs). A study with an aim to analyse the impact of COVID-19 pandemic on routine immunization coverage post lockdown at a tertiary care centre of western UP.Methods: A retrospective analytical study was conducted at LLRM Medical College, Meerut comparing 3 periods of year 2020, each of 4 weeks viz: 1-28th of February, 1-28 of August and 1-28 of December.Results: Total number of vaccine beneficiaries decreased significantly post lockdown from 646 in February to 275 and 419 in August and December respectively. The percent reduction was maximally seen in booster vaccines while birth dose group was least affected. There was 76.2% and 39.3% reduction in number of children receiving primary doses of combination vaccines in August and December period respectively as compared to February 2020. We found 68.42% and 54.39 % reduction in MR-1 beneficiaries in August and December respectively as compared to February 2020.Conclusions: Significant reduction is found in total number of children receiving immunization during un-lockdown period, compared to pre-COVID level. This difference was more significant in booster doses compared to birth doses. We did not find any significant catch up in vaccine beneficiaries by December 2020 despite 7 months of un-lockdown raising significant concern for public health.

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TO SEE THE IMPACT OF LOCKDOWN IN COVID19 PANDEMIC ON TUBERCULAR PATIENTS IN A TERTIARY CARE CENTRE OF HILLY AREA.

10.36106/ijar/8601373 ◽

2020 ◽

pp. 33-34

Author(s):

Subhash Chander ◽

Ritin Sharma ◽

Ankit Chaudhary ◽

Rakesh Chauhan

Keyword(s):

Health Centre ◽

Tertiary Care ◽

Healthcare Services ◽

Care Centre ◽

Tertiary Care Centre ◽

Tuberculosis Patients ◽

Hilly Area ◽

Number Of Patients ◽

Group B ◽

The Impact

Aim: To see the impact of lockdown in Covid19 Pandemic on Tubercular patients in a Tertiary care Centre of hilly area. Material and Methods: The study was conducted among adult patients in a tertiary health centre in a rural area. Study was conducted through lockdown period, comparing it with corresponding period in 2019. Tuberculosis patients or suspects were categorized in two groups. Group A was designated for participants in the year 2020 during lockdown period. Group B was data taken from time period similar to lockdown period in the year 2019. Data from two groups was compared. Observations: There was a 44.1% decline in number of male patients, whose sputum was examined by microscopy for tuberculosis. In case of female patients, decline was 68.6%. This decrease was present in all phases, more in 1st phase, 69.1%. During lockdown period number of patients presenting to medicine department were 45% compared to previous year ( 5129 vs 11280), sputum positive diagnosed during lockdown and similar period in 2019 were (84.4%) 27 vs 32 ( p 0.016). OPD declined by 54.5% during lockdown, however diagnosed tubercular cases by CBNAAT declined by 44.4%. Conclusion: COVID 19 pandemic greatly affected the routine healthcare services. Lockdown period saw a decline in number of patients presenting to outdoor as well as indoor patients. There was a decline in number of tuberculosis suspects as well as number of diagnosed tuberculosis patients. However decline in tuberculosis patients was less as compared to overall patients.

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The impact of age on prognosis in patients with gastric cancer: experience in a tertiary care centre

Journal of Gastrointestinal Oncology ◽

10.21037/jgo-20-139 ◽

2020 ◽

Vol 11 (6) ◽

pp. 1233-1241

Author(s):

Maan El Halabi ◽

Renee Horanieh ◽

Hani Tamim ◽

Deborah Mukherji ◽

Sara Jdiaa ◽

...

Keyword(s):

Gastric Cancer ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre ◽

Cancer Experience ◽

The Impact

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The impact of an add-on video assisted structured aerobic exercise module on mood and somatic symptoms among women with depressive disorders: Study from a tertiary care centre in India

Asian Journal of Psychiatry ◽

10.1016/j.ajp.2017.12.004 ◽

2018 ◽

Vol 32 ◽

pp. 118-122 ◽

Cited By ~ 3

Author(s):

Amrita Roy ◽

Radhakrishnan Govindan ◽

Kesavan Muralidharan

Keyword(s):

Aerobic Exercise ◽

Depressive Disorders ◽

Tertiary Care ◽

Somatic Symptoms ◽

Care Centre ◽

Tertiary Care Centre ◽

Video Assisted ◽

The Impact

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Causes of albuminocytological dissociation and the impact of age-adjusted cerebrospinal fluid protein reference intervals: a retrospective chart review of 2627 samples collected at tertiary care centre

BMJ Open ◽

10.1136/bmjopen-2018-025348 ◽

2019 ◽

Vol 9 (2) ◽

pp. e025348 ◽

Cited By ~ 2

Author(s):

John Alexander Brooks ◽

Christopher McCudden ◽

Ari Breiner ◽

Pierre R Bourque

Keyword(s):

Cerebrospinal Fluid ◽

Cell Count ◽

Tertiary Care ◽

Common Finding ◽

Care Centre ◽

Tertiary Care Centre ◽

Old Patients ◽

Reference Limit ◽

Upper Reference Limit ◽

The Impact

ObjectiveWe set out to test the discriminative power of an age-adjusted upper reference limit for cerebrospinal fluid total protein (CSF-TP) in identifying clinically relevant causes of albuminocytological dissociation (ACD).MethodsWe reviewed the charts of 2627 patients who underwent a lumbar puncture at a tertiary care centre over a 20-year period. Samples with CSF-TP above 45 mg/dL (0.45 g/L) were included. Samples with white cell count >5×109/L, red cell count >50×109/L and glucose <2.5 mmol/L (45 mg/dL) were excluded as were samples with incomplete data and those taken from paediatric patients (ie, age <18 years old). Patients with CSF-TP elevated above 45 mg/dL were considered to have ‘pseudo’ ACD unless their CSF-TP was in excess of age-adjusted norms in which case they were considered to have ‘true’ ACD. Adjustment for sex was not applied to the age-adjusted norms although the importance of gender has been previously described.ResultsThe presence of ACD was associated with a broad range of neurological diagnoses. Among all 2627 patients with ACD, a clinical diagnosis explaining CSF-TP elevation was identified in 57% of cases. ‘True’ ACD was associated with a suitable diagnosis in 75% of cases, whereas patients with ‘pseudo’ ACD showed an appropriate diagnosis in only 51% of cases. Use of an age-adjusted upper reference limit favoured the detection of polyneuropathy patients (13.5% proportionate increase) and excluded a larger number of patients with isolated headache (10.7% proportionate decrease; p<0.0001).ConclusionsElevated CSF-TP is a common finding, with a range of underlying causes. Use of an age-adjusted upper reference limit for the CSF-TP value improves diagnostic specificity and helps to avoid overdiagnosis of ACD.

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